Provider Demographics
NPI:1376632372
Name:SKERRITT, JOANNE W (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:W
Last Name:SKERRITT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-5124
Mailing Address - Country:US
Mailing Address - Phone:518-273-4859
Mailing Address - Fax:518-274-1379
Practice Address - Street 1:406 FULTON STREET
Practice Address - Street 2:SUITE 211
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180
Practice Address - Country:US
Practice Address - Phone:518-274-1164
Practice Address - Fax:518-274-1379
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO237311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY52336BMedicare ID - Type UnspecifiedMENTAL HEALTH MEDICARE